THRIVE PSYCHOLOGICAL SERVICES
NPI 1275417610
Psychologist in South Bend, IN

Active since July 31, 2025
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617(574) 544-9597(866) 219-1359 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thrive Psychological Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THRIVE PSYCHOLOGICAL SERVICES (NPI 1275417610) is a healthcare organization registered as a psychologist in South Bend, Indiana and active in the NPI registry since July 2025. The organization lists Matthew Scott Jackson, Clinical Psychologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1275417610
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTHRIVE PSYCHOLOGICAL SERVICES
Location Address1251 N EDDY ST STE 200South Bend, IN 46617-1478
Mailing Address55089 Ardith StOsceola, IN 46561-9064 · (574) 274-6919
Fax(866) 219-1359
Organization SubpartNo
Authorized OfficialMatthew Scott JacksonClinical Psychologist, Owner · (574) 544-9597
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1275417610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1251 N EDDY ST STE 200, South Bend, IN 46617

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thrive Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thrive Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1952794570
714 N MICHIGAN ST
South Bend, IN 46601
(574) 647-7477
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thrive Psychological Services's NPI number?

The NPI number for Thrive Psychological Services is 1275417610. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Thrive Psychological Services located?

Thrive Psychological Services is located at 1251 N Eddy St Ste 200, South Bend, IN 46617. The listed phone number is (574) 544-9597.

What is Thrive Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Thrive Psychological Services enrolled in Medicare?

Yes. Thrive Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrive Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Thrive Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thrive Psychological Services was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.